Release of tendon connecting biceps muscle and shoulder using an endoscope
Medicare pricing data for 7,961 providers across 52 states
This procedure has a 5.8x markup — hospitals charge $5,462 but Medicare allows only $943.51. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $217 in Vermont to $1,367 in California. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS code 29828) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $943.51, but hospitals typically charge $5,462 — a 5.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $943.51, your out-of-pocket cost would be approximately $188.70. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $751.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $1,367 | $7,304 | 658 | 3,322 | +44.9% |
| Delaware | $1,277 | $6,009 | 28 | 127 | +35.4% |
| Alaska | $1,274 | $8,757 | 26 | 117 | +35.1% |
| Washington | $1,209 | $3,794 | 188 | 1,093 | +28.2% |
| Maryland | $1,203 | $8,488 | 147 | 802 | +27.5% |
| Mississippi | $1,173 | $6,142 | 66 | 880 | +24.3% |
| Tennessee | $1,162 | $6,438 | 187 | 1,124 | +23.2% |
| Hawaii | $1,158 | $3,516 | 24 | 119 | +22.7% |
| New Mexico | $1,144 | $4,847 | 27 | 74 | +21.2% |
| Connecticut | $1,119 | $5,724 | 95 | 379 | +18.6% |
| Virginia | $1,091 | $6,072 | 191 | 1,519 | +15.7% |
| Oregon | $1,089 | $3,971 | 95 | 644 | +15.4% |
| Nevada | $1,048 | $5,558 | 72 | 427 | +11.1% |
| Arizona | $1,043 | $5,399 | 193 | 1,042 | +10.6% |
| New Hampshire | $1,037 | $7,341 | 62 | 221 | +9.9% |
| Rhode Island | $1,037 | $5,534 | 28 | 75 | +9.9% |
| Minnesota | $1,034 | $5,167 | 142 | 463 | +9.6% |
| District of Columbia | $997 | $5,258 | 14 | 86 | +5.7% |
| Georgia | $993 | $5,853 | 241 | 1,175 | +5.2% |
| Colorado | $986 | $5,338 | 170 | 817 | +4.5% |
| Michigan | $980 | $5,829 | 224 | 982 | +3.8% |
| Utah | $973 | $5,116 | 95 | 687 | +3.1% |
| Florida | $954 | $6,281 | 580 | 3,028 | +1.1% |
| Indiana | $950 | $5,658 | 151 | 527 | +0.6% |
| Missouri | $945 | $5,641 | 165 | 1,089 | +0.2% |
| Puerto Rico | $941 | $1,367 | 17 | 49 | -0.3% |
| North Carolina | $920 | $4,156 | 290 | 2,103 | -2.5% |
| New Jersey | $906 | $10,823 | 230 | 823 | -4.0% |
| New York | $906 | $6,462 | 435 | 1,598 | -4.0% |
| Illinois | $898 | $6,575 | 288 | 1,279 | -4.8% |
| Texas | $870 | $5,430 | 514 | 2,505 | -7.8% |
| Montana | $838 | $2,162 | 38 | 295 | -11.2% |
| Iowa | $826 | $3,491 | 83 | 349 | -12.5% |
| Pennsylvania | $799 | $4,186 | 314 | 1,286 | -15.3% |
| South Carolina | $773 | $4,374 | 160 | 1,234 | -18.1% |
| Massachusetts | $771 | $4,906 | 196 | 996 | -18.3% |
| Ohio | $753 | $3,928 | 294 | 1,396 | -20.2% |
| Alabama | $726 | $2,867 | 145 | 704 | -23.1% |
| Arkansas | $696 | $3,465 | 82 | 489 | -26.2% |
| Wyoming | $695 | $4,116 | 28 | 116 | -26.4% |
| Kansas | $675 | $5,310 | 114 | 705 | -28.4% |
| Kentucky | $673 | $3,779 | 102 | 494 | -28.7% |
| Louisiana | $673 | $4,485 | 127 | 732 | -28.7% |
| Idaho | $644 | $3,851 | 74 | 354 | -31.8% |
| North Dakota | $635 | $3,015 | 12 | 113 | -32.7% |
| West Virginia | $561 | $3,085 | 45 | 136 | -40.5% |
| Wisconsin | $546 | $7,609 | 158 | 543 | -42.1% |
| Oklahoma | $532 | $2,046 | 106 | 590 | -43.6% |
| Nebraska | $516 | $3,127 | 75 | 352 | -45.3% |
| Maine | $347 | $1,839 | 47 | 112 | -63.2% |
| South Dakota | $263 | $2,096 | 49 | 290 | -72.1% |
| Vermont | $217 | $2,031 | 11 | 29 | -77.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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